| NPI | 1033482831 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VETTIAZHATH P PRADEEP M.D. 941-921-5208 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME61644) |
| Enumeration Date | 2012-02-10 |
| Last Update Date | 2012-02-10 |